U-Lena Dunham's Op-Ed sisikhumbuzo sokuba ulawulo lokubeleka lungaphezulu kakhulu kunoThintelo lokukhulelwa.

Umxholo

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Ayicacanga into yokuba ulawulo lokuzalwa lusisicatshulwa kakhulu (kunye nezopolitiko) isihloko sempilo yabasetyhini. Kwaye u-Lena Denham akanazintloni ngokuxoxa nokuba yeyiphi na impilo yabasetyhini kunye nezopolitiko, oko kukuthi. Ke xa inkwenkwezi ibhala i-op-ed ye INew York Times malunga nendima yolawulo lokuzalwa ebomini bakhe kwaye kutheni kubalulekile ukugcina ukufikelela kwethu kuyo, i-Intanethi iyamamela.

UDunham ebesoloko evulelekile malunga nomzabalazo wakhe ne-endometriosis (kunye nenyani yokuba ngoku uyi-endometriosis "ekhululekile"), kodwa uluvo lwakhe olutsha lucacisa kanye ukuba ulawulo lokuzalwa luye lwamnceda njani ukuba alawule imeko yakhe. Ngokukodwa, oko, "ukuphulukana nolawulo lokuzalwa kunokuthetha ubomi beentlungu."

Yiloo nto-ngelixa sisebenzisa igama eliqhelekileyo elithi "ukulawula ukuzalwa" okanye "iPilisi," into esiyithethayo ngokwenene i-hormonal contraception, kwaye loo mahomoni anokwenza okungaphezulu kunokuthintela ukukhulelwa okungalindelekanga. Ngapha koko, malunga neepesenti ezingama-30 zabasetyhini, isizathu sokuya kwiPilisi asinanto yakwenza nokuthintela ukukhulelwa, utshilo uLauren Streicher, MD, unxulumene noprofesa wezonyango nokubelekisa kwiYunivesithi yaseNyakatho-ntshona yeFeinberg School of Medicine kunye nombhali Isondo Rx. Isizathu sabo sokuyithatha ayikokuthintela ukukhulelwa, kungenxa yazo zonke ezinye izinto eziyenzayo, utshilo-aka "off-label". Ngelixa "i-off-label" inokuthi ifake iingcinga ngentengiso emnyama okanye ukusetyenziswa kweziyobisi ezingekho mthethweni, ezi zizizathu ezisemthethweni zokuba amaxwebhu anike iPilisi, utshilo uGqr Streicher.

Kanye njengoDunham, abasetyhini abangenakubalwa baphendukela kulawulo-nzala-okanye, "iipilisi zolawulo lwehomoni," njengoko uGqr Streicher ecebisa ukuba sibabize-ukulawula yonke into ukusuka kwi-PMS eyoyikekayo kunye ne-acne ukuya kwi-endometriosis okanye i-uterine fibroids. "Zininzi kakhulu izibonelelo ezingathinteli ukukhulelwa, ke xa uyibiza 'ngolawulo lokuzalwa' abantu bayayilahla loo nto, utshilo uGqirha Streicher. (I-BTW, ngelixa ezinye iindlela zokucwangcisa i-hormonal-njenge-shot okanye i-hormonal IUDs-inokubonelela ngeenzuzo ezingezizo zokukhusela, iipilisi zomlomo zihlala zichazwe kubasetyhini abahluphekileyo kuyo nayiphi na imiba engezantsi yezempilo okanye abafuna i-hormone- izibonelelo ezilawulayo.)

Kwaye olu luhlu lwezibonelelo ezingezizo zothintelo luhle kakhulu lude. Zijonge:

• Ukunciphisa i-acne kunye nokukhula kweenwele zobuso.
• Ukuncitshiswa kweenkampu kunye neempawu ze-PMS kunye nokujikeleza rhoqo kokuya exesheni.
• Ukuncitshiswa kwamaxesha anzima kakhulu (kubandakanya ukuphuculwa kwe-anemia yokunqongophala kwe-iron ngenxa yokulahleka kwegazi).
• Ukunciphisa iintlungu kunye nokopha ngenxa ye-endometriosis (isifo esichaphazela abafazi aba-1 kwabali-10 kwaye sibangela ukuba izicwili zesibeleko zikhule ngaphandle kwesibeleko) kunye ne-adenomyosis (imeko efana ne-endometriosis apho ulusu lwangaphakathi lwesibeleko ludiliza udonga lwemisipha lwesibeleko ).
• Ukunciphisa iintlungu kunye nokuphuma kwegazi kwi-uterine fibroids (ukukhula okukhula kwimisipha yemisipha yesibeleko, echaphazela ukubetha kweepesenti ezingama-50 zabasetyhini).
• Ukuncitshiswa kwemigraines kubangelwa kukuya exesheni okanye iihomoni.
• Umngcipheko omncinci wokukhulelwa kwe-ectopic.
• Umngcipheko omncinci wee-cyst zesifuba ezinobungozi kunye nee-cysts ezintsha ze-ovari.
• Umngcipheko oncitshisiweyo we-ovarian, i-uterine, kunye nomhlaza we-colorectal.

Ke kuye nawuphina umntu ophandle esilwa okanye ematsha ngamalungelo abasetyhini, kubandakanya ukufikelela kolawulo lokuzalwa olufikelelekayo, khumbula nje ukuba ayisiyiyo le nto ukulawula inzala. Le pilisi incinci inamandla kakhulu kunoko. Kwaye ukwalela abanye abasetyhini ukufikelela kweli chiza elinokusindisa ubomi kuthabatha esinye sezona zixhobo zibalaseleyo zokumelana nale miba inzima kunye neqhelekileyo yempilo.

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